RiverFest   August 30, 2003
Web Entry Form
r 5 K Run r5 K Walk r 10K Run r 10K Wheelchair  
Name:___________________________________  Age on 8-30-03:______r Male r Female       
Street:_______________________________________________________________________
City:________________________________________State:_____________ Zip:___________
Day Phone:_________________________ Evening Phone:___________________________
T-Shirt size: r S r M r L r  XL rXXL
Fees:
5 Mile Run/Walk and 10K Run:
rPre-registered on or before August 22 - $15.00
rAfter August 22 and race day - $18.00

NIFS Members - you may take $2.00 off the entry fee  -  Enter your membership numbers here _________

qYes - Please enter my child in the FREE Kiddie Romp
$________________ TOTAL ENCLOSED
CHECKS ARE PAYABLE TO:  NIFS

Mail completed entry form and entry fee to: 
NIFS RiverFest, 250 University Blvd., Indpls, IN 46202

RACE PARTICIPATION AGREEMENT:
I have read the accompanying event information and understand the policies of the event.   I know that running and walking a road race is a potentially hazardous activity.   I should not enter unless I am medically able and properly trained.  I agree to abide by any decision of a race official relative to my ability to safely complete the   run or walk.  I also know that while police protection will be provided, there may be traffic on the course.  I assume all risks associated with my voluntary participation in this event, including but not limited to, falls contact with other participants, the effect of the weather, including extreme weather conditions, traffic and all conditions of the road, all such risks being known and appreciated by me.   Knowing these facts, and in consideration of your accepting my entry, I for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue and WAIVE, RELEASE AND DISCHARGE NIFS, all RiverFest sponsors, Tuxedo Brothers, and the city of Indianapolis, race officials, workers or volunteers, their representatives, successors or assigns for ANY AND ALL claims or liability, whether foreseen or unforeseen, for death, personal injury or property damage arising out of, or in the course of my participation in this event.  I further grant full permission to the above mentioned sponsors, organizers and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or other record of the event for any reasonable purpose.  NO REFUNDS!
Signature_______________________________________________ Date __________________
Parent’s or Guardian’s Signature if under age 18__________________________________________ Date ______________
Incomplete/unsigned entries will not be accepted. - Entry form can be copied.